Individual
LESLIE GOTTESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
800 QUINTANA RD, SUITE 1B, MORRO BAY, CA 93442-2300
(805) 772-6131
(805) 772-5281
Mailing address
800 QUINTANA RD, SUITE 1B, MORRO BAY, CA 93442-2300
(805) 772-6131
(805) 772-5281
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
CA37947
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA37947
AMERICAN MASSAGE THERAPY ASSOCIATION
CA
Enumeration date
11/01/2013
Last updated
11/01/2013
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